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General NPI Number Information
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NPI Number | 1962364331
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Entity Type | Individual
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Provider Name | ASHLEY GRIMM RBT
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 699 WALNUT ST STE 400
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City | DES MOINES
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State | IA
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Zip | 50309-3962
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Country | US
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Telephone | 515-709-4222
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Fax | 855-892-0299
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Provider Business Mailing Address
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Address Line | 2390 WEDGEWOOD DR UNIT 6250
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City | AKRON
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State | OH
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Zip | 44312-2479
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Country | US
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Telephone | 515-709-4222
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Fax | 855-892-0299
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-371268
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License Number State | IA
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